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2013 STATEMENT OF REVENUE AND EXPENSES - 004
95517 - Aetna Hlth Inc ME Corp
Quarter 1

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 05/16/2013
Line
Quarter Number
Uncovered Current Year to Date
Total Current Year to Date
Total Prior Year to Date
Total Prior Year Ended December 31
01 Member months 1   48,916 44,974 185,746
02 Net premium income (including $0 non-health premium income) 1   23,163,133 22,410,802 93,333,783
03 Change in unearned premium reserves and reserve for rate credits 1   -583,897 -1,916 -115,174
04 Fee-for-service (net of $0 medical expenses) 1   0 0 0
05 Risk revenue 1   0 0 0
06 Aggregate write-ins for other health care related revenues 1   0 0 0
07 Aggregate write-ins for other non-health revenues 1   0 0 0
08 Total revenues 1   22,579,236 22,408,886 93,218,609
09 Hospital/medical benefits (hospital and medical) 1 418,129 16,604,190 14,415,691 55,226,358
10 Other professional services (hospital and medical) 1 0 0 0 0
11 Outside referrals (hospital and medical) 1 254,301 254,301 195,710 1,032,834
12 Emergency room and out-of-area (hospital and medical) 1 35,113 877,819 949,984 3,755,130
13 Prescription drugs (hospital and medical) 1 36,962 3,062,042 3,606,326 13,343,899
14 Aggregate write-ins for other hospital and medical (hospital and medical) 1 0 0 0 0
15 Incentive pool, withhold adjustments and bonus amounts (hospital and medical) 1 0 101,663 0 -419,768
16 Subtotal (hospital and medical) 1 744,505 20,900,015 19,167,711 72,938,453
17 Net reinsurance recoveries (less) 1 0 0 0 0
18 Total hospital and medical (less) 1 744,505 20,900,015 19,167,711 72,938,453
19 Non-health claims (net) (less) 1 0 0 0 0
20 Claims adjustment expenses, including $319951 cost containment expenses (less) 1 0 497,382 520,600 1,934,059
21 General administrative expenses (less) 1 0 2,407,299 2,117,118 8,921,462
22 Increase in reserves for life and accident and health contracts (including $0 increase in reserves for life only) (less) 1 0 -28,597 -77,783 -75,696
23 Total underwriting deductions 1 744,505 23,776,099 21,727,646 83,718,278
24 Net underwriting gain or (loss) 1   -1,196,863 681,240 9,500,331
25 Net investment income earned 1 0 161,964 173,051 665,228
26 Net realized capital gains (losses) less capital gains tax of $5941 1 0 -85,031 13,105 -53,206
27 Net investment gains or (losses) 1 0 76,933 186,156 612,022
28 Net gain or (loss) from agents' or premium balances charged off [(amount recovered $0 (amount charged off $0] 1 0 0 0 0
29 Aggregate write-ins for other income or expenses 1 0 0 0 0
30 Net income or (loss) after capital gains tax and before all other federal income taxes 1   -1,119,930 867,396 10,112,353
31 Federal and foreign income taxes incurred 1   -503,659 259,507 2,689,293
32 Net income (loss) 1   -616,271 607,889 7,423,060
Details of Write-Ins
0699   1   0 0 0
0799   1   0 0 0
1499   1 0 0 0 0
2999   1 0 0 0 0

 

2013 STATEMENT OF REVENUE AND EXPENSES (Continued) - 005
95517 - Aetna Hlth Inc ME Corp
Quarter 1

OLTPPROD Copyright 2013 National Association of Insurance Commissioners. All rights reserved. 05/16/2013
Line Quarter Number Current Year to Date Prior Year to Date Prior Year Ended December 31
33 Capital and surplus prior reporting year 1 14,818,026 11,371,930 11,371,930
34 Net income or (loss) from Line 32 1 -616,271 607,889 7,423,060
35 Change in valuation basis of aggregate policy and claim reserves 1 0 0 0
36 Change in net unrealized capital gains (losses) less capital gains tax of $0 1 0 0 0
37 Change in net unrealized foreign exchange capital gain or (loss) 1 0 0 0
38 Change in net deferred income tax 1 -65,511 43,449 -654,137
39 Change in nonadmitted assets 1 492 -29,373 -22,827
40 Change in unauthorized and certified reinsurance 1 0 0 0
41 Change in treasury stock 1 0 0 0
42 Change in surplus notes 1 0 0 0
43 Cumulative effect of changes in accounting principles 1 0 0 0
44.1 Paid in (capital changes) 1 0 0 0
44.2 Transferred from surplus (stock dividend) (capital changes) 1 0 0 0
44.3 Transferred to surplus (capital changes) 1 0 0 0
45.1 Paid in (surplus adjustments) 1 0 0 0
45.2 Transferred to capital (stock dividend) (surplus adjustments) 1 0 0 0
45.3 Transferred from capital (surplus adjustments) 1 0 0 0
46 Dividends to stockholders 1 0 0 -3,300,000
47 Aggregate write-ins for gains or (losses) in surplus 1 0 0 0
48 Net change in capital and surplus 1 -681,290 621,965 3,446,096
49 Capital and surplus end of reporting period 1 14,136,736 11,993,895 14,818,026
Details of Write-Ins
4701 Change in Additional Deferred Tax Asset Admitted Amount 1 0 0 0
4799   1 0 0 0

 

 

Last Updated: November 20, 2013